Product Export Declaration

The person or organization identified below (“Client”) has placed an order for one or more items (“Goods”) that are subject to export regulations.

If you have any questions regarding this form, please contact sales@waterlinked.com

Product Export Declaration

Company

Head quarter address *
Head quarter address
Different shipping address? *
Shipping address
Shipping address
Are you reselling this product to another end user/customer? *
Final user/customer address
Final user/customer address


Goods




Usage

Application *
Vehicle *


Applicant / Signature

The undersigned hereby warrants that the following statements are understood and accepted: (1) The Client understands that the Goods are subject to license requirements, (2) The Client understands that the re-export of the Goods is subject to the laws and regulations of the country where the Goods are located at any given time, (3) The Client will inform the end user of the Goods that the Goods are subject to export regulations.